Sofinnova Investments, Inc.

In its 13F for Q1 2024 (holdings as of March 31, 2024, filed August 14, 2024), Sofinnova Investments, Inc. reported 66 stock positions worth $1.7 billion. Its top holding was Natera (NTRA) at 8.4% of the portfolio, followed by Vera Therapeutics (VERA, 7.1%) and Ascendis Pharma A/S (ASND, 6.7%). Compared with Q4 2023, it opened 27 new positions, sold out of 20, added to 18 and reduced 13. The biggest buy was a new position in Novo-Nordisk A/S-Spons ADR (NVO) and the biggest sale an exit from Karuna Therapeutics (KRTX).

Most Recent 13F
Q2 2026
Location
Menlo Park, CA
CIK
0001631134
Portfolio Value
$1.7B (Q1 2024)
SEC Filing
0001104659-24-089526 ↗ filed Aug 14, 2024

Holdings Value

0$500.0M$1.0B$1.5B$2.0B$2.5B Q1 2024: $1.7B $1.7B Q1 2024 Q2 2024: $1.6B Q2 2024 Q3 2024: $1.2B Q3 2024 Q4 2024: $1.4B Q4 2024 Q1 2025: $1.3B Q1 2025 Q2 2025: $1.5B Q2 2025 Q3 2025: $1.6B Q3 2025 Q4 2025: $2.3B Q4 2025 Q1 2026: $2.0B Q1 2026 Q2 2026: $1.9B Q2 2026

Holdings 66 stocks · $1.7B

NTRA Natera Inc. 8.37% 1,550,280 $141.8M No change
VERA Vera Therapeutics Inc. 7.11% 2,793,987 $120.5M Reduce -19.4%
ASND Ascendis Pharma A/S 6.73% 754,032 $114.0M No change
AEROVATE THERAPEUTICS INC 6.56% 3,758,686 $111.1M No change
MRK Merck & Co. Inc. 5.07% 651,299 $85.9M Reduce -24.1%
NVO Novo-Nordisk A/S-Spons ADR 4.64% 611,884 $78.6M New
INCY Incyte Corp. 4.46% 1,327,178 $75.6M Add +347.5%
ARGX Argenx SE - ADR 3.47% 149,300 $58.8M Add +233.8%
ISRG Intuitive Surgical Inc. 3.32% 140,880 $56.2M Add +11.0%
DYN Dyne Therapeutics Inc. 3.25% 1,936,650 $55.0M Add +91.1%
INHIBRX INC 2.69% 1,302,645 $45.5M Add +68.5%
ELAN Elanco Animal Health Inc. 2.46% 2,555,547 $41.6M Add +114.0%
IDXX Idexx Laboratories Inc. 2.40% 75,224 $40.6M New
AZN Astrazeneca PLC-Spons ADR 2.39% 596,713 $40.4M Reduce -29.9%
SNDX Syndax Pharmaceuticals Inc. 2.26% 1,608,540 $38.3M Add +49.5%
PODD Insulet Corp. 2.23% 220,203 $37.7M Add +1059.0%
YMAB Y-Mabs Therapeutics Inc. 2.11% 2,194,278 $35.7M No change
IDYA Ideaya Biosciences Inc. 2.02% 781,596 $34.3M Reduce -46.4%
CLDX Celldex Therapeutics Inc. 1.99% 801,777 $33.7M Reduce -5.0%
INZY Inozyme Pharma Inc. 1.94% 4,280,308 $32.8M No change
ALGN Align Technology Inc. 1.85% 95,478 $31.3M New
AVBP Arrivent Biopharma Inc. 1.79% 1,696,752 $30.3M New
TGTX TG Therapeutics Inc. 1.78% 1,984,962 $30.2M New
SRPT Sarepta Therapeutics Inc. 1.74% 227,488 $29.5M New
BSX Boston Scientific Corp. 1.43% 353,851 $24.2M Add +170.1%
IMTX Immatics NV 1.34% 2,163,646 $22.7M Reduce -27.1%
SILK Silk Road Medical Inc. filed as SILK RD MED INC 1.29% 1,189,024 $21.8M New
COGT Cogent Biosciences Inc. 0.95% 2,400,771 $16.1M New
EXAS Exact Sciences Corp. 0.94% 229,481 $15.8M New
ALNY Alnylam Pharmaceuticals Inc. 0.91% 103,036 $15.4M New
IMNM Immunome Inc. 0.87% 594,396 $14.7M New
PHVS Pharvaris NV 0.80% 584,672 $13.5M Add +14.5%
MRNS Marinus Pharmaceuticals Inc. 0.75% 1,401,053 $12.7M Reduce -21.0%
SVRA Savara Inc. 0.69% 2,347,261 $11.7M Reduce -1.5%
SWAV Shockwave Medical Inc. 0.67% 35,000 $11.4M New
KURA Kura Oncology Inc. 0.63% 501,940 $10.7M Reduce -69.9%
ROIV Roivant Sciences Ltd. 0.62% 1,001,704 $10.6M New
AXONICS INC 0.61% 149,385 $10.3M New
PEPG Pepgen Inc. 0.44% 503,624 $7.4M Add +2086.1%
CABA Cabaletta Bio Inc. 0.43% 429,746 $7.3M Add +0.1%
ESTA Establishment Labs Holdings 0.42% 141,162 $7.2M Add +4525.2%
ACHV Achieve Life Sciences Inc. 0.41% 1,518,230 $6.9M New
SLNO Soleno Therapeutics Inc. 0.38% 150,775 $6.5M Add +12464.6%
FDMT 4D Molecular Therapeutics Inc. 0.37% 198,186 $6.3M New
NXTC Nextcure Inc. 0.35% 2,671,856 $6.0M No change
AVTR Avantor Inc. 0.35% 232,446 $5.9M New
MDGL Madrigal Pharmaceuticals Inc. 0.30% 19,029 $5.1M New
BOLT Bolt Biotherapeutics Inc. 0.23% 2,754,437 $3.9M No change
FUSN Fusion Pharmaceuticals Inc. 0.20% 157,172 $3.4M Add +25.4%
MASI Masimo Corp. 0.17% 20,000 $2.9M Add +56.3%
TFX Teleflex Inc. 0.16% 12,142 $2.7M New
COO The Cooper Cos Inc. 0.13% 21,236 $2.2M Add +32.7%
INSP Inspire Medical Systems Inc. 0.10% 8,099 $1.7M New
LIVN Livanova PLC 0.07% 20,456 $1.1M New
NUCANA PLC 0.05% 3,400,739 $884K Reduce -27.4%
AMLX Amylyx Pharmaceuticals Inc. 0.05% 306,729 $871K New
BAX Baxter International Inc. 0.05% 20,000 $855K New
PDSB PDS Biotechnology Corp. 0.03% 142,635 $565K No change
IKENA ONCOLOGY INC 0.03% 382,616 $543K Add +5.3%
CATX Perspective Therapeutics Inc. 0.03% 430,105 $512K New
NARI Inari Medical Inc. 0.03% 10,216 $490K New
IRON Disc Medicine Inc. 0.02% 6,173 $384K New
GPCR Structure Therapeutics Inc. 0.02% 8,733 $374K Reduce -95.0%
Nucana PLC 0.02% 1,307,875 $340K Reduce -45.5%
KYTX Kyverna Therapeutics Inc. 0.01% 10,000 $248K New
MIRM Mirum Pharmaceuticals Inc. 0.00% 3,012 $76K Reduce -99.2%

Options reported separately and not counted above: XBI puts ($80.7M), MRNS puts ($9.0M), MRNS calls ($7.7M), INSM calls ($2.7M), AMLX puts ($852K).

Other holdings (1): bonds, preferreds, convertibles and warrants · $853K (not counted above)
SecurityClassShares / PrincipalValueChange
IMTXW Immatics NV -CW *W EXP 07/01/202 316,349$853KReduce -0.6%

Total filed on the 13F, all lines: $1.7B.

Portfolio Sells Q4 2023 → Q1 2024

KRTX Karuna Therapeutics Inc. Sold out 0.00% −24.50
RYZB Rayzebio Inc. Sold out 0.00% −8.43
IMGN Immunogen Inc. Sold out 0.00% −2.57
LLY Eli Lilly & Co. Sold out 0.00% −2.11
CYTK Cytokinetics Inc. Sold out 0.00% −1.94
CBAY Cymabay Therapeutics Inc. Sold out 0.00% −1.87
SNY Sanofi-ADR Sold out 0.00% −1.67
KVUE Kenvue Inc. Sold out 0.00% −1.46
SYK Stryker Corp. Sold out 0.00% −1.05
GERN Geron Corp. Sold out 0.00% −1.04
IDYA Ideaya Biosciences Inc. Reduce -46.4% 2.02% −0.88
AZN Astrazeneca PLC-Spons ADR Reduce -29.9% 2.39% −0.82
AGEN Agenus Inc. Sold out 0.00% −0.73
KURA Kura Oncology Inc. Reduce -69.9% 0.63% −0.71
MIRM Mirum Pharmaceuticals Inc. Reduce -99.2% 0.00% −0.58
IMVT Immunovant Inc. Sold out 0.00% −0.53
IMTX Immatics NV Reduce -27.1% 1.34% −0.41
MLTX Moonlake Immunotherapeutics Sold out 0.00% −0.39
GPCR Structure Therapeutics Inc. Reduce -95.0% 0.02% −0.38
MRNS Marinus Pharmaceuticals Inc. Reduce -21.0% 0.75% −0.33
IRWD Ironwood Pharmaceuticals Inc. Sold out 0.00% −0.21
MRK Merck & Co. Inc. Reduce -24.1% 5.07% −0.17
DXCM Dexcom Inc. Sold out 0.00% −0.14
PEN Penumbra Inc. Sold out 0.00% −0.03
NUCANA PLC Reduce -27.4% 0.05% −0.03
GALERA THERAPEUTICS INC Sold out 0.00% −0.03
Nucana PLC Reduce -45.5% 0.02% −0.02
FULC Fulcrum Therapeutics Inc. Sold out 0.00% −0.01
SPRB Spruce Biosciences Inc. Sold out 0.00% −0.00
VIR Vir Biotechnology Inc. Sold out 0.00% −0.00
SVRA Savara Inc. Reduce -1.5% 0.69% +0.06
CLDX Celldex Therapeutics Inc. Reduce -5.0% 1.99% +0.11
VERA Vera Therapeutics Inc. Reduce -19.4% 7.11% +4.12

Portfolio Buys Q4 2023 → Q1 2024

NVO Novo-Nordisk A/S-Spons ADR New 4.64% +4.64
INCY Incyte Corp. Add +347.5% 4.46% +3.42
ARGX Argenx SE - ADR Add +233.8% 3.47% +2.52
DYN Dyne Therapeutics Inc. Add +91.1% 3.25% +2.49
IDXX Idexx Laboratories Inc. New 2.40% +2.40
PODD Insulet Corp. Add +1059.0% 2.23% +2.00
ALGN Align Technology Inc. New 1.85% +1.85
AVBP Arrivent Biopharma Inc. New 1.79% +1.79
TGTX TG Therapeutics Inc. New 1.78% +1.78
SRPT Sarepta Therapeutics Inc. New 1.74% +1.74
ELAN Elanco Animal Health Inc. Add +114.0% 2.46% +1.46
SILK Silk Road Medical Inc. New 1.29% +1.29
INHIBRX INC Add +68.5% 2.69% +1.04
BSX Boston Scientific Corp. Add +170.1% 1.43% +1.01
SNDX Syndax Pharmaceuticals Inc. Add +49.5% 2.26% +0.96
COGT Cogent Biosciences Inc. New 0.95% +0.95
EXAS Exact Sciences Corp. New 0.94% +0.94
ISRG Intuitive Surgical Inc. Add +11.0% 3.32% +0.92
ALNY Alnylam Pharmaceuticals Inc. New 0.91% +0.91
IMNM Immunome Inc. New 0.87% +0.87
SWAV Shockwave Medical Inc. New 0.67% +0.67
ROIV Roivant Sciences Ltd. New 0.62% +0.62
AXONICS INC New 0.61% +0.61
PEPG Pepgen Inc. Add +2086.1% 0.44% +0.43
ESTA Establishment Labs Holdings Add +4525.2% 0.42% +0.42
ACHV Achieve Life Sciences Inc. New 0.41% +0.41
SLNO Soleno Therapeutics Inc. Add +12464.6% 0.38% +0.38
FDMT 4D Molecular Therapeutics Inc. New 0.37% +0.37
AVTR Avantor Inc. New 0.35% +0.35
MDGL Madrigal Pharmaceuticals Inc. New 0.30% +0.30
TFX Teleflex Inc. New 0.16% +0.16
FUSN Fusion Pharmaceuticals Inc. Add +25.4% 0.20% +0.13
INSP Inspire Medical Systems Inc. New 0.10% +0.10
MASI Masimo Corp. Add +56.3% 0.17% +0.09
LIVN Livanova PLC New 0.07% +0.07
AMLX Amylyx Pharmaceuticals Inc. New 0.05% +0.05
BAX Baxter International Inc. New 0.05% +0.05
COO The Cooper Cos Inc. Add +32.7% 0.13% +0.04
CATX Perspective Therapeutics Inc. New 0.03% +0.03
NARI Inari Medical Inc. New 0.03% +0.03
IRON Disc Medicine Inc. New 0.02% +0.02
KYTX Kyverna Therapeutics Inc. New 0.01% +0.01
PHVS Pharvaris NV Add +14.5% 0.80% −0.00
IKENA ONCOLOGY INC Add +5.3% 0.03% −0.01
CABA Cabaletta Bio Inc. Add +0.1% 0.43% −0.11

Options Activity Q4 2023 → Q1 2024

XBI SS SPDR S&P Biotech ETF put New 850,000 $80.7M
MRNS Marinus Pharmaceuticals Inc. put New 1,000,000 $9.0M
MRNS Marinus Pharmaceuticals Inc. call Add +754.7% 854,700 $7.7M
INSM Insmed Inc. call New 100,000 $2.7M
AGEN Agenus Inc. call Sold out 1,600,000 $1.3Mbefore exit
AMLX Amylyx Pharmaceuticals Inc. put New 300,000 $852K

Calls and puts are listed by the shares they cover; their value is not part of the stock holdings above.

Notes & Other Activity Q4 2023 → Q1 2024

IMTXW Immatics NV -CW *W EXP 07/01/202 Reduce -0.6% 316,349 $853K

Bonds, preferreds, convertibles and warrants; not part of the stock holdings or percentages above.

All Filings

QuarterPositions13F Reported ValueTop Holdings
Q2 2026 53$1.9BNTRA, VERA, GMAB, JAZZ, RAPP
Q1 2026 61$2.0BNTRA, BMY, JAZZ, VERA, UTHR
Q4 2025 60$2.3BNTRA, JAZZ, AZN, VERA, BMY
Q3 2025 55$1.6BNTRA, GILD, VERA, UTHR, JAZZ
Q2 2025 55$1.5BNTRA, GILD, LLY, JAZZ, VERA
Q1 2025 59$1.3BNTRA, SYK, VERA, JAZZ, MDT
Q4 2024 60$1.4BNTRA, VERA, GILD, ABBV, JAZZ
Q3 2024 56$1.2BNTRA, VERA, NVO, AZN, IDYA
Q2 2024 71$1.6BNTRA, VERA, ASND, NVO, EW
Q1 2024Amended 66$1.7BNTRA, VERA, ASND, AEROVATE THERAPEUTICS INC, MRK